• Women's Health Nursing
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• v.22 no.2
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• pp.86-95
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• 2016

Purpose: The aim of this study was to conduct a concept analysis of cultural nursing competence. Methods: Cultural nursing competence was analyzed using Rodgers' evolutionary concept development method. A literature search using the keywords "cultural nursing competence", "intercultural nursing competence", "cultural nursing", "cultural health nursing", and "cultural competence" was conducted in PubMed, CINAHL, ERIC, and RISS on material published before 2015. Database and bibliographic searches yielded 35 records. Results: Cultural nursing competence comprised cognitive, affective, and behavioral domains. The critical attributes of the concept were sensitivity, equality, and activity. The analysis identified the following dimensions: awareness, openness, and coherence. The consequences of cultural nursing competence were personal satisfaction and social justice. The definition contained competence on both an individual and social level. Conclusion: Cultural competency enhances quality of care by narrowing health disparities and increasing client satisfaction. The concept analysis of cultural nursing competence may offer an acceptable framework which can be used to develop psychometric tools of this concept and provide guidelines in nursing practice.

• Journal of the Korea Society of Computer and Information
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• v.24 no.5
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• pp.113-120
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• 2019

This study was conducted to identify the level of cultural empathy, self-esteem, and cultural competence and factors affecting cultural competence of nursing students. Participants were 157 nursing students who were 2nd, 3rd, and 4th grade in one university located at the Chungbuk provinces. Data collected using questionnaires which consisted of general characteristics, cultural empathy, self-esteem, and cultural competence. The mean score for cultural empathy was $3.63{\pm}.34$(scores ranged from 1 to 5), The mean score for self-esteem was $2.91{\pm}.42$(scores ranged from 1 to 4). The mean score for cultural competence was $3.31{\pm}.43$(scores ranged from 1 to 5). There were significant differences between cultural competence and age(t=-2.242, p=.027), grade(F=3.473, p=.033), and fluency of foreign language(F=5.053, p=.007). There were significant correlation between cultural competence and cultural empathy(r=.49, p<.001), and self-esteem(r=.33, p<.001)), and self-esteem and cultural empathy(r=.33, p<.001). Cultural empathy and self-esteem explained 29.4% of cultural competence and major predictor variable for cultural competence was cultural empathy. In this paper, we propose various multicultural education programs in curriculum and extra curriculum that can enhance cultural empathy and self-esteem to improve cultural competence of nursing students. Especially, continuous education of cultural knowledge among cultural competence will be done.

• Journal of East-West Nursing Research
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• v.21 no.1
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• pp.52-60
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• 2015

Purpose: This study investigated the relationship between cultural competence and empathy of nursing students who can provide appropriate health care to their patients in the future. Methods: All the participants (N=364) were nursing students and completed a survey of the Caffrey Cultural Competence in Health Scale (CCCHS), Cultural Competence Assessment (CCA), and Interpersonal Reactions Index (IRI). Results: The mean of cultural competence and empathy of participants were 2.8 and 3.7, respectively. The cultural competence score in male students was higher than the score of female students (p=.044). In addition, the cultural competence score of nursing students who had an experience with foreigners was higher than the score of students who had not (p=.017). However, the cultural competence score of nursing students who did not take a multicultural education was higher than the score of students who took it. The empathy score of female students was higher than the score of male students (p=.003). The empathy score of students who had a multicultural education was higher than the score of students who did not take it (p=.008). Conclusion: The findings suggest that nursing students need to enhance cultural competence and empathy.

• Journal of East-West Nursing Research
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• v.26 no.2
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• pp.157-166
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• 2020

Purpose: This study was conducted to identify the relationship between the transcultural self-efficacy (TSE) and cultural competence of nursing students. Methods: This study was a cross-sectional study. A total of 352 nursing students were recruited from two universities in Incheon and Gyeonggi. The data were analyzed using descriptive statistics, t-test, ANOVA with Scheffe's test, correlation coefficient, and hierarchical multiple regression analysis. Results: The mean score of TSE was 6.20 (out of 10). The mean score of cultural competence was 4.98 (out of 7). TSE was positively correlated with cultural competence (r=.47, p<.001). The practical domain (β=.18, p=.001) and affective domain (β=.35, p<.001) of TSE had a significant effect on cultural competence. TSE accounted for 22.3% of cultural competence. Conclusion: Educational programs for improving cultural competence should include contents to improve the affective and practical domains of TSH. It is also helpful for subjects with various cultural backgrounds to learn interview skills and nursing skills through practice to reinforce cultural competence.

• Journal of Home Health Care Nursing
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• v.23 no.2
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• pp.206-215
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• 2016

Purpose: The purpose of this study was to investigate the level of cultural competence, intercultural communicative competence, and multi-cultural job stress among healthcare workers and to explore factors that are related to their cultural competence. Methods: The study subjects were 142 healthcare workers at a general hospital. Data were collected using a questionnaire on cultural competence, intercultural communicative competence, and multi-cultural job stress. A t-test, ANOVA Pearson's correlation coefficient, and multiple regression analysis were conducted using SPSS. Results: Cultural competence was significantly related to the necessity of multi-cultural education, and intercultural communicative competence was significantly related to age, a vocational career, communication in foreign languages, and having multi-cultural neighbors. Moreover, multi-cultural job stress was significantly related to religion. In multiple regression results, cultural competence was found to be related to intercultural communicative competence and multi-cultural job stress. Conclusion: Healthcare workers who are set to care for multi-cultural patients should improve intercultural communicative competence and reduce multi-cultural job stress.

• The Journal of Korean Academic Society of Nursing Education
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• v.19 no.2
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• pp.183-193
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• 2013

Purpose: The purpose of this study aimed to describe the empathy and cultural competence and to find the relationship between the empathy and cultural competence in Korean nursing students. Methods: A total of 276 nursing students participated in this study. Data collection was conducted through the use of questionnaires which were constructed to include an Interpersonal Reaction Index, the Caffrey Cultural Competence in Healthcare scale, and Cultural Competence Assessment. Results: Empathy and cultural competency of participants in this study were shown to have moderate levels (Empathy: M=3.5, SD=0.41; Cultural competency: M=2.7, SD=0.42). And the nursing students who exhibited more frequent interaction with foreigners and willing to have multicultural education were found to have significantly higher empathy and cultural competence. There was a significant positive correlation between empathy and cultural competency(r=.189, p<.001). Conclusion: The findings suggest that nursing students need to enhance empathy and cultural competence.

• Journal of Home Health Care Nursing
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• v.25 no.2
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• pp.147-154
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• 2018

Purpose: The study examined the effects of self-efficacy and intercultural communicative competence on the cultural competence of allied health college students. Methods: The participants were 176 allied health college students. Data collection was conducted from June 12 to 30, 2018. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis with the SPSS program. Results: The mean self-efficacy score was 3.52;, the mean intercultural communicative competence score was 3.24;, and the mean cultural competence score was 3.26. Cultural competence differed significantly by grade(p=.008), major(p<.001), overseas study exchange(p=.020), foreign language skill(p=.011), domestic multicultural friends (p=.002) and contact with people(p=.026) of general characteristics. Statistically significant positive relationships were observed between self-efficacy(r=.23), intercultural communicative competence(r=.58), and cultural competence. A total of 35.9% of cultural competence was explained by intercultural communicative competence and grade. Conclusion: These results can be used to develop cultural education programs to improve cultural competence, with consideration for intercultural communicative competence and grade levels.

• Journal of Korean Academy of Nursing Administration
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• v.19 no.1
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• pp.48-62
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• 2013

Purpose: As Korean society has rapidly become multicultural in the last few decades, it is essential for nurses to become culturally competent to provide effective care for ethnically and culturally diverse populations. Considering the advantages of standardized instrument, there is a need to evaluate current cultural competence instruments to assess adaptability to Korean nurses. Methods: Using Macdowell's instrument evaluation guideline, a review and evaluation was done of the Inventory for Assessing the Process of Cultural Competence among Healthcare Professionals (IAPCC) and Cultural Competence Assessment (CCA), which were both developed based on cultural competence theoretical models and have been commonly used in nursing research. Two other Korean instruments were also evaluated. Results: The instruments reviewed have limitations in reliability and validity, as well as cultural background and development process, for measurement of cultural competence in Korean nurses. Conclusion: The results of this study indicate that it is necessary to discuss and agree on a definition of what cultural competence is and to develop instruments to measure cultural competence in Korean nurses.

• Journal of Korean Clinical Nursing Research
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• v.20 no.3
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• pp.267-278
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• 2014

Purpose: This study aimed to examine the differences in Korean nurses' cultural competence perceived by nurses and foreign patients in a general hospital. Methods: The study participants were recruited from outpatient clinics and wards in H General Hospital located in Busan. Cultural competence was measured by the Cultural Competence Scale for Korean Nurses, consisting of 4 subscales: cultural perception, cultural knowledge, cultural sensitivity, and cultural skills. Data were collected from March 31 to April 30, 2014 by distributing and collecting a self-administrated questionnaire set. Data of the 90 foreign patients and 90 nurses were analyzed using PASW statistics 18.0 for independent t-test and ANOVA. Results: The level of cultural competence of Korean nurses perceived by foreign patients was significantly higher than that of nurses. On the cultural awareness dimension, nurses rated themselves more highly than foreign patients did while ratings on the dimensions of cultural knowledge and cultural skill were the opposite. Conclusion: This study indicates that there was a statistically significant difference in the perception of nurses' cultural competence between nurses and foreign patients. The findings can be used for developing education programs to enhance nurses' cultural competence, integrating the perspectives of foreign patients.

• Journal of the Health Care and Life Science
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• v.8 no.2
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• pp.95-104
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• 2020

This study was conducted in order to examine the effects of humanistic knowledge and empathy ability on cultural competence of nursing students. A convenience sample of 250 nursing students were recruited. The average scores were 2.50 for humanistic knowledge, 3.40 for empathy ability, and 3.33 for cultural competence. Humanistic knowledge had positive correlation with cultural competence. Also, the empathy ability was positively correlated with humanistic knowledge and cultural competence. Finally, cultural competence, empathy ability and level of academic score have shown to influence cultural competence. The research founds that humanistic knowledge, empathy ability and level of academic score influenced cultural competence of nursing students. Therefore, this study provides the basic information for improving the curriculum and quality of nursing for nursing students' cultural competency enhancement.